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Surgical Instruments Market – India
January 2012
Executive Summary

                Surgical instruments market in India is growing at a CAGR of x% over 20---20--e
                A large number of domestic manufacturers exist in the market and they earn high revenues by
  Market        exporting their products
                Surgical robots are still at a nascent stage and its development will significantly boost the market
                Drivers:                                                   Challenges:
                    Increasing surgical procedures                                 Improper sterilization
                    Improving hospital infrastructure                              procedures
  Drivers &                                                                        Reluctance to use by


                                     E
                    Growing medical tourism
 Challenges                                                                        medical centers


                                   L
                    Increasing lifestyle diseases



                                  P
                    Changing demographic structure
                    Increasing healthcare spending

Technological

                                AM
                Powered Surgical Tools
                Minimally Invasive Surgeries


                               S
   Trends       Robotic Surgeries

                            Major Domestic Players                                      Major Foreign Players

Competition          Company 1                 Company 3                     Company 5                      Company 6

                     Company 2                 Company 4                     Company 6                      Company 7


                                   SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                        2
•Introduction
•Market Overview
•Import-Export
•Drivers & Challenges
•Surgical Trends
•Competition
•Strategic Recommendations
•Appendix

  SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT   3
Market for surgical instruments in India is poised to grow at
 a steady rate in the coming years
 Surgical Instruments Market – Overview                                         Market Size & Growth
 • Market for surgical instruments is poised to grow in                        INR bn
   coming years, providing strong opportunities to                            25
   present and potential players to earn higher revenues                                                                               f
   and increase profits                                                       20                                x%             e
          Surgical instruments are used in various therapeutic                                                        d
          segments such as cardiology, dermatology, oncology,                 15                          c
          neurology, general surgery and gastroenterology                                           b



                                                      E
                                                                                        a
          Traditionally, surgical instruments were hand tools though          10


                                                    L
          powered surgical instruments are rapidly being taken up to



                                                   P
          make surgical procedures as less invasive as possible
 • A large number of domestic manufacturers exist in the
                                                                               5

   market


                                                 AM
          Most domestic companies are small scale companies
                                                                               0
                                                                                      2010     2011e    2012e        2013e   2014e   2015e



                                                S
          operating in small regions in the country
 • Unlike for most other medical devices, the market for
   surgical instruments is not import dependent                                    Growth is mostly restricted to urban areas with semi-
          Domestic manufacturers are able to earn high revenues by                  urban and rural areas remaining largely untapped,
          exporting their products                                                      thus providing a huge growth opportunity
 • Market is likely to get a huge boost in future with
   growth in the use and acceptance of surgical robots

Source:

                                                    SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                          4
Unlike other medical devices, surgical instruments’ market
 is not import dependant with high export earnings
 Imports                                                                Exports
 INR mn                                                                 INR mn
2.0                                                                     3.0                                                        z4
                                                   y4                                         z2                                  q4%
                                                                                             q2%                z3
                                                  f4%
                                                                        2.5                  p2%               q3%                p4%
1.5                              y3               e4%                                                          p3%
                      y2
                      f2%       f3%                                     2.0
                                                  d4%                                z1      o2%
           u1y1       e2%       e3%                                                    q1%                                        o4%
1.0         f1%                                     c4%                 1.5        p1%                         o3%
                      d2%



                                            E
                                d3%         b4%
            e1%
          d1%



                                          L
                          c2%   c3%                                                 o1%      n2%
          b1% c1%   b2%         b3%
                                                                        1.0
                                                                                             m2%               n3%                n4%



                                         P
0.5
                                                  a4%                               n1%                        m3%
           a1%        a2%                                               0.5                                                       m4%
                                a3%                                                          l2%
                                                                                    m1%



                                        M
                                                                                                               l3%                 l4%
                                                                                    l1%
0.0                                                                     0.0
           2008      2009




                    HS Code
                       --
                                2010




                                      SA     --
                                                  2011

                                                         --   --   --         --

                                                               HS Code Description
                                                                                    2008

                                                                                     --
                                                                                             2009              2010               2011




                       --
                       --
                       --
                       --
                       --
Source:                                                                                      Note: Figures are for respective financial years

                                       SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                                       5
Drivers & Challenges – Summary



  Drivers

  Increasing surgical procedures

  Improving hospital infrastructure
                                                                       Challenges
  Growing medical tourism                                              Improper sterilization procedures

  Increasing lifestyle diseases                                        Reluctance to use by medical centers

  Changing demographic structure

  Increasing healthcare spending




                                      SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                           6
Surgical Trends – Summary



                              Powered Surgical Tools




                                       Surgical
                                       Trends


     Robotic Surgeries                                               Minimally Invasive Surgeries




                         SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                              7
Major Companies – Summary
  Net Profit                                                                  Size of the Bubble represents Total Assets in INR mn
 550

 500

 450                                                                                                                     p

 400

 350




                                                E
 300

 250

 200
                          r
                                             PL
 150

 100

                                           AM                                      q


   50

    0

  -50
               u   t
                              s
                                          S                                                                                              Revenue
          0        500            1,000          1,500           2,000           2,500          3,000           3,500              4,000

                   Company 1        company 2        company 3        company 4          company 5      company 6

Source:                                                                                                   Note: All figures are in INR mn for FY 2010

                                                SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                                     8
Public: Domestic Company – Company 1
 (1/3)
 Company Information                                                         Offices and Centres – India

 Corporate Address


 Tel No.

 Website

 Year of Incorporation




                                                   E
 Ticker Symbol

 Stock Exchange


 Products and Services
                                                PL
 Products/Services

                                              AM                                                             Head Office




                                             S
 Product 1, Product 2, Product 3, Product 4, Product 5, Product
 6, Product 7, Product 8, Product 9, Product 10
                                                                             Key People
                                                                             Name
                                                                             Person A
                                                                                                           Designation
                                                                                                           Chairman & MD
                                                                             Person B                      Executive Director
                                                                             Person C                      Chief Operating Officer
                                                                             Person D                      Chief Financial Officer

Source:

                                                 SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                       9
Public: Domestic Company – Company 1
 (1/3)
 Financial Snapshot                                                              Key Ratios
                 Total Income      Net Profit / Loss                                                             y-o-y change
                                                                                           Particulars                          2011   2010   2009   2008
 INR bn                                                         INR bn                                             (2011-10)
                                                          b4                     Profitability Ratios
20                                                                    4
                                           b3                                     Operating Margin
15                         b2                                         3           Net Margin
10         b1                                                         2           Profit Before Tax Margin
                                                          a4
                                           a3                                     Return on Equity
 5                         a2                                         1
           a1                                                                     Return on Capital Employed
 0                                                                    0           Return on Working Capital
          2008            2009           2010            2011                     Return on Assets




                                                         E
 Financial Summary                                                                Return on Fixed Assets
                                                                                 Cost Ratios




                                                      PL
 • The company incurred a net profit/net loss of INR X mn in FY 20XX,
   as compared to net profit/net loss of INR Y mn in FY 20YY
 • The company reported total Income of INR XX mn in FY 20XX,
                                                                                  Operating costs (% of Sales)
                                                                                  Administration costs (% of
                                                                                    Sales)




                                                     M
   registering an increase/decrease of X per cent over FY 20YY                    Interest costs (% of Sales)
                                                                                 Liquidity Ratios



                                                    A
 • The company earned an operating margin of X.X per cent in FY 20XX
                                                                                  Current Ratio
   an increase/decrease of X.X percentage points over FY 20YY
                                                                                  Cash Ratio

   increase/decrease of X.X per cent over FY 20YY
Financial Summary
          Indicators
                                                   S
 • The company reported debt to equity ratio of X.XX in FY 20XX, an




                                        Value (dd/mm/yyyy)
                                                                                 Leverage Ratios
                                                                                  Debt to Equity Ratio
                                                                                  Debt to Capital Ratio
                                                                                  Interest Coverage Ratio
                                                                                 Efficiency Ratios
 Market Capitalization (INR)                                                      Fixed Asset Turnover
                                                                                  Asset Turnover
                                                                                  Current Asset Turnover
                                                                                  Working Capital Turnover
                                                                                  Capital Employed Turnover
Source:                                                                                                                            Improved    Decline

                                                       SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                                     10
Public: Domestic Company – Company 1
 (3/3)
 Key Business Segments                                                   Key Geographic Segments

                        Segment 1                                                            Region 1   Region 2
 100                                                                      600
  80
                                 Company 1 has been                       400
  60
           100%              operating solely in Segment X
  40                                                                                                    v3%        v4%    v5%
                                over the last five years                  200       v1%        v2%
  20
                                                                             0      u1%        u2%      u3%        u4%    u5%
    0
            2011



                                             L E                                   2007        2008     2009       2010   2011




                                            P
 Business Overview

          Description


                                          AM                                     News
                               • Is an ISO 9001:2000 and ISO 13485:2003 certified company


 Overview                                S
                               • Manufactures and sells various kinds of surgical sutures materials, micro sutures,
                                 absorbable and non absorbable sutures, bone wax, polyester fibre tape, future dispenser,
                                 micro surgical cellulose swabs
                               • Introduced Good Manufacturing Practice (GMP) into all aspects of production and quality
                                 control which includes maintaining detailed batch records, a recall system, control of
                                 procedures, staff training and a controlled production environment


Source:

                                             SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                       11
Thank you for the attention
The Surgical Instruments Market – India report is part of Research on India’s Healthcare
Industry Series.
For more detailed information or customized research requirements please contact:
Tamojit Roy
Phone:         +91 33 4064 6215
E-Mail:        tamojit.roy@netscribes.com
Research on India is a product of Netscribes (India) Pvt. Ltd. Research on India is dedicated to disseminating information and providing quick
insights on “hot” industries in India and other emerging markets. Track our new releases and major updates in these industries on




About Netscribes
Netscribes is a knowledge-consulting and solutions firm with clientele across the globe. The company’s expertise spans areas of investment &
business research, business & corporate intelligence, content-management services, and knowledge-software services. At its core lies a true
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Disclaimer: This report is published for general information only. Although high standards have been used the preparation, Research on India,
Netscribes (India) Pvt. Ltd. or “Netscribes” is not responsible for any loss or damage arising from use of this document. This document is the
sole property of Netscribes (India) Pvt. Ltd. and prior permission is required for guidelines on reproduction.

                                                 SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT                                               12

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Market Research Report : Surgical instruments market in india 2012

  • 1. Insert Cover Image using Slide Master View Do not distort Surgical Instruments Market – India January 2012
  • 2. Executive Summary Surgical instruments market in India is growing at a CAGR of x% over 20---20--e A large number of domestic manufacturers exist in the market and they earn high revenues by Market exporting their products Surgical robots are still at a nascent stage and its development will significantly boost the market Drivers: Challenges: Increasing surgical procedures Improper sterilization Improving hospital infrastructure procedures Drivers & Reluctance to use by E Growing medical tourism Challenges medical centers L Increasing lifestyle diseases P Changing demographic structure Increasing healthcare spending Technological AM Powered Surgical Tools Minimally Invasive Surgeries S Trends Robotic Surgeries Major Domestic Players Major Foreign Players Competition Company 1 Company 3 Company 5 Company 6 Company 2 Company 4 Company 6 Company 7 SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 2
  • 3. •Introduction •Market Overview •Import-Export •Drivers & Challenges •Surgical Trends •Competition •Strategic Recommendations •Appendix SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 3
  • 4. Market for surgical instruments in India is poised to grow at a steady rate in the coming years Surgical Instruments Market – Overview Market Size & Growth • Market for surgical instruments is poised to grow in INR bn coming years, providing strong opportunities to 25 present and potential players to earn higher revenues f and increase profits 20 x% e Surgical instruments are used in various therapeutic d segments such as cardiology, dermatology, oncology, 15 c neurology, general surgery and gastroenterology b E a Traditionally, surgical instruments were hand tools though 10 L powered surgical instruments are rapidly being taken up to P make surgical procedures as less invasive as possible • A large number of domestic manufacturers exist in the 5 market AM Most domestic companies are small scale companies 0 2010 2011e 2012e 2013e 2014e 2015e S operating in small regions in the country • Unlike for most other medical devices, the market for surgical instruments is not import dependent Growth is mostly restricted to urban areas with semi- Domestic manufacturers are able to earn high revenues by urban and rural areas remaining largely untapped, exporting their products thus providing a huge growth opportunity • Market is likely to get a huge boost in future with growth in the use and acceptance of surgical robots Source: SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 4
  • 5. Unlike other medical devices, surgical instruments’ market is not import dependant with high export earnings Imports Exports INR mn INR mn 2.0 3.0 z4 y4 z2 q4% q2% z3 f4% 2.5 p2% q3% p4% 1.5 y3 e4% p3% y2 f2% f3% 2.0 d4% z1 o2% u1y1 e2% e3% q1% o4% 1.0 f1% c4% 1.5 p1% o3% d2% E d3% b4% e1% d1% L c2% c3% o1% n2% b1% c1% b2% b3% 1.0 m2% n3% n4% P 0.5 a4% n1% m3% a1% a2% 0.5 m4% a3% l2% m1% M l3% l4% l1% 0.0 0.0 2008 2009 HS Code -- 2010 SA -- 2011 -- -- -- -- HS Code Description 2008 -- 2009 2010 2011 -- -- -- -- -- Source: Note: Figures are for respective financial years SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 5
  • 6. Drivers & Challenges – Summary Drivers Increasing surgical procedures Improving hospital infrastructure Challenges Growing medical tourism Improper sterilization procedures Increasing lifestyle diseases Reluctance to use by medical centers Changing demographic structure Increasing healthcare spending SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 6
  • 7. Surgical Trends – Summary Powered Surgical Tools Surgical Trends Robotic Surgeries Minimally Invasive Surgeries SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 7
  • 8. Major Companies – Summary Net Profit Size of the Bubble represents Total Assets in INR mn 550 500 450 p 400 350 E 300 250 200 r PL 150 100 AM q 50 0 -50 u t s S Revenue 0 500 1,000 1,500 2,000 2,500 3,000 3,500 4,000 Company 1 company 2 company 3 company 4 company 5 company 6 Source: Note: All figures are in INR mn for FY 2010 SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 8
  • 9. Public: Domestic Company – Company 1 (1/3) Company Information Offices and Centres – India Corporate Address Tel No. Website Year of Incorporation E Ticker Symbol Stock Exchange Products and Services PL Products/Services AM Head Office S Product 1, Product 2, Product 3, Product 4, Product 5, Product 6, Product 7, Product 8, Product 9, Product 10 Key People Name Person A Designation Chairman & MD Person B Executive Director Person C Chief Operating Officer Person D Chief Financial Officer Source: SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 9
  • 10. Public: Domestic Company – Company 1 (1/3) Financial Snapshot Key Ratios Total Income Net Profit / Loss y-o-y change Particulars 2011 2010 2009 2008 INR bn INR bn (2011-10) b4 Profitability Ratios 20 4 b3 Operating Margin 15 b2 3 Net Margin 10 b1 2 Profit Before Tax Margin a4 a3 Return on Equity 5 a2 1 a1 Return on Capital Employed 0 0 Return on Working Capital 2008 2009 2010 2011 Return on Assets E Financial Summary Return on Fixed Assets Cost Ratios PL • The company incurred a net profit/net loss of INR X mn in FY 20XX, as compared to net profit/net loss of INR Y mn in FY 20YY • The company reported total Income of INR XX mn in FY 20XX, Operating costs (% of Sales) Administration costs (% of Sales) M registering an increase/decrease of X per cent over FY 20YY Interest costs (% of Sales) Liquidity Ratios A • The company earned an operating margin of X.X per cent in FY 20XX Current Ratio an increase/decrease of X.X percentage points over FY 20YY Cash Ratio increase/decrease of X.X per cent over FY 20YY Financial Summary Indicators S • The company reported debt to equity ratio of X.XX in FY 20XX, an Value (dd/mm/yyyy) Leverage Ratios Debt to Equity Ratio Debt to Capital Ratio Interest Coverage Ratio Efficiency Ratios Market Capitalization (INR) Fixed Asset Turnover Asset Turnover Current Asset Turnover Working Capital Turnover Capital Employed Turnover Source: Improved Decline SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 10
  • 11. Public: Domestic Company – Company 1 (3/3) Key Business Segments Key Geographic Segments Segment 1 Region 1 Region 2 100 600 80 Company 1 has been 400 60 100% operating solely in Segment X 40 v3% v4% v5% over the last five years 200 v1% v2% 20 0 u1% u2% u3% u4% u5% 0 2011 L E 2007 2008 2009 2010 2011 P Business Overview Description AM News • Is an ISO 9001:2000 and ISO 13485:2003 certified company Overview S • Manufactures and sells various kinds of surgical sutures materials, micro sutures, absorbable and non absorbable sutures, bone wax, polyester fibre tape, future dispenser, micro surgical cellulose swabs • Introduced Good Manufacturing Practice (GMP) into all aspects of production and quality control which includes maintaining detailed batch records, a recall system, control of procedures, staff training and a controlled production environment Source: SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 11
  • 12. Thank you for the attention The Surgical Instruments Market – India report is part of Research on India’s Healthcare Industry Series. For more detailed information or customized research requirements please contact: Tamojit Roy Phone: +91 33 4064 6215 E-Mail: tamojit.roy@netscribes.com Research on India is a product of Netscribes (India) Pvt. Ltd. Research on India is dedicated to disseminating information and providing quick insights on “hot” industries in India and other emerging markets. Track our new releases and major updates in these industries on About Netscribes Netscribes is a knowledge-consulting and solutions firm with clientele across the globe. The company’s expertise spans areas of investment & business research, business & corporate intelligence, content-management services, and knowledge-software services. At its core lies a true value proposition that draws upon a vast knowledge base. Netscribes is a one-stop shop designed to fulfil clients’ profitability and growth objectives. Disclaimer: This report is published for general information only. Although high standards have been used the preparation, Research on India, Netscribes (India) Pvt. Ltd. or “Netscribes” is not responsible for any loss or damage arising from use of this document. This document is the sole property of Netscribes (India) Pvt. Ltd. and prior permission is required for guidelines on reproduction. SURGICAL INSTRUMENTS MARKET IN INDIA 2012.PPT 12